Geethadevi Koneru, DDS

NPI #1033593587 in Fort Wayne, Indiana

Provider Information

NPI Number: 1033593587
Entity Type: Individual
Name: Geethadevi Koneru, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Jul 15, 2015
Last Updated: Jul 15, 2015

Practice Location

Address: 5328 COLDWATER RD
City: Fort Wayne
State: Indiana
ZIP Code: 46825-5445
Phone: (888) 988-4066

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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